Release 5 Preview #3

Diagnosticreport-example-f201-brainct.json

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Encounter, Patient, Practitioner

Raw JSON (canonical form + also see JSON Format Specification)

Real-world patient example

{
  "resourceType": "DiagnosticReport",
  "id": "f201",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2><span>CT of head-neck</span> (<span>Radiology</span>) </h2><table><tr><td>Subject</td><td><b>Roel(OFFICIAL)</b>  1960-03-13 ( BSN: 123456789 (OFFICIAL))</td></tr><tr><td>When For</td><td>Dec 1, 2012 12:00:00 PM</td></tr><tr><td>Reported</td><td>Dec 1, 2012 12:00:00 PM</td></tr></table><p><b>Report Details</b></p><p>CT brains: large tumor sphenoid/clivus.</p><p><b>Coded Conclusions :</b></p><ul><li><span>Malignant tumor of craniopharyngeal duct</span></li></ul></div>"
  },
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "394914008",
          "display": "Radiology"
        },
        {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
          "code": "RAD"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "429858000",
        "display": "Computed tomography (CT) of head and neck"
      }
    ],
    "text": "CT of head-neck"
  },
  "subject": {
    "reference": "Patient/f201",
    "display": "Roel"
  },
  "effectiveDateTime": "2012-12-01T12:00:00+01:00",
  "issued": "2012-12-01T12:00:00+01:00",
  "performer": [
    {
      "reference": "Organization/f203",
      "display": "Blijdorp MC"
    }
  ],
  "imagingStudy": [
    {
      "display": "HEAD and NECK CT DICOM imaging study"
    }
  ],
  "conclusion": "CT brains: large tumor sphenoid/clivus.",
  "conclusionCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "188340000",
          "display": "Malignant tumor of craniopharyngeal duct"
        }
      ]
    }
  ]
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.